Professional Documents
Culture Documents
Income Declaration Form
Income Declaration Form
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(b)
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Regd. No.
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Total Family income from all sources.
I hereby declare that the above information given is true & correct. I will be held liable for any wrong information given
which shall include cancellation of scholarship, recovery of amounts paid already if any besides criminal action.
Name & Signature of the Student
ePASS Application ID (2013-14):____________
Course: ________ Course Year:_
College: ____________________________________
College District:______________
Mobile No:__________
___________